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A 36-year-old female lawyer is diagnosed with diabetes mellitus when her…
A 36-year-old female lawyer is diagnosed with diabetes mellitus when her fasting blood glucose on an annual health screening comes back 12mmol/L
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Primary
Type 1 DM
DKA, autoimmune antibodies
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Investigation
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Casual/random, fasting, 2hr challenge NOT Hb1Ac
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Management
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Type II DM
Diet
Meal and snack carbohydrate intake for diabetes should be
consistently distributed throughout the day
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TARGET:
HbA1c* (%) ≤ 7.0% or ≤ 53 mmol/mol
Pre-meal glucose† (mmol/l) 4.0 – 7.0
2-hour post-meal glucose† (mmol/l) < 10.0
Gestational
Sweet foods should be avoided and caloric intake reduced if the woman is overweight or obese. The diet should contain more complex carbohydrates, more fibre, and less saturated fat.
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